Zamiatin V V
Grud Serdechnososudistaia Khir. 1992(5-6):26-9.
The author analysed the frequency of different variants of atherosclerotic affection of the aortoiliac-femoral segment in 300 patients who underwent operation. With consideration for these data, the surgical tactics and techniques of proximal anastomosis in aortofemoral shunting (prosthetics) in 216 patients with variants of Leriche's syndrome are appraised. In most patients the operation may be carried out through an extraperitoneal approach. The choice of the type of proximal anastomosis in aortofemoral shunting (prosthetics) should be guided by the character of the affection, the condition of the branches of the abdominal aorta, and the necessity for revascularization of one or both extremities in one stage. The chosen tactics and techniques of the operation made it possible to preserve 86.1% of the vascularized extremities.
作者分析了300例接受手术患者的主-髂-股段动脉粥样硬化病变不同变体的发生频率。基于这些数据，对216例患有勒里什综合征变体的患者进行主-股分流术（假体植入）时近端吻合的手术策略和技术进行了评估。大多数患者可通过腹膜外途径进行手术。主-股分流术（假体植入）中近端吻合类型的选择应根据病变特征、腹主动脉分支情况以及一期对一侧或双侧肢体进行血运重建的必要性来决定。所选择的手术策略和技术使86.1%的有血运的肢体得以保留。
